Mary Moe Trites, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29003 Issued in MN

Practice address

4695 Shoreline Dr
Spring Park, MN 55384-9715

Phone

(952) 442-7890

Fax

(952) 442-7893

NPI assigned

Jul 20, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Minnesota Medical School, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Hospital District Hospital, Blue Earth, MN, CCN 241369

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Hospital District Inc.

  • Critical Access Hospital
  • Blue Earth, MN
  • NPI 1952307688

  Family Medicine

  NPD
• Carlson Chiropractic Health and Healing Inc.

  • Chiropractor
  • Maple Plain, MN
  • NPI 1083747711
  NPD (past)
• Multicare Associates of the Twin Cities,PA

  dba Fridley Medical Center

  • Family Medicine Physician
  • Fridley, MN
  • NPI 1275528671
  NPD (past)
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Hudson, WI
  • NPI 1568840916
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• United Hospital District Inc.

  • Critical Access Hospital
  • Blue Earth, MN
  • NPI 1952307688
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912906017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 SHORELINE DR",
            "city": "SPRING PARK",
            "state": "MN",
            "postal_code": "553849715",
            "telephone_number": "952-442-7890",
            "fax_number": "952-442-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 SHORELINE DR",
            "city": "SPRING PARK",
            "state": "MN",
            "postal_code": "553849715",
            "telephone_number": "952-442-7890",
            "fax_number": "952-442-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITES",
        "first_name": "MARY",
        "middle_name": "MOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "29003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113080300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SP Services (Spring Park Pharmacy)
• SP Services (Spring Park Pharmacy LTC)
• Thomas G Stocks, MD
• TCM Wellness Clinic
• Kelly Jean Tibbetts, LICSW
• Aaron Tsay
• Urology Associates, LTD.
• Dantel Weaver, DDS
• Benedict J Weinbeck III, MA
• Kevin M White, DO

• Family Medicine Physician in Spring Park, MN
• Providers in Spring Park, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.